| NPI | 1669781951 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A1012132)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR P1906082)  | 
| Enumeration Date | 2010-10-04 | 
| Last Update Date | 2025-01-22 |